ATI RN
Med-Surg Cardiovascular Practice Questions Questions
Question 1 of 5
A second 12-lead ECG performed on a patient 4 hours after the onset of chest pain reveals ST segment elevation. What does the nurse recognize that this finding indicates?
Correct Answer: C
Rationale: ST elevation indicates full-thickness myocardial damage.
Question 2 of 5
What procedure is used cautiously or not at all in elderly clients who have aortic stenosis because stretching may fracture the aortic valve if it is calcified, as is often the case in older clients?
Correct Answer: A
Rationale: Balloon valvuloplasty poses a risk of fracturing calcified aortic valves in elderly clients.
Question 3 of 5
Before taking hemodynamic measurements, the monitoring equipment must be referenced by
Correct Answer: B
Rationale: Referencing hemodynamic monitoring equipment means positioning the monitoring equipment so that the zero reference point is at the vertical level of the left atrium of the heart.
Question 4 of 5
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is:
Correct Answer: D
Rationale: Ventricular fibrillation is a life-threatening arrhythmia that often occurs in the first 24 hours after an MI.
Question 5 of 5
During the initial post-operative assessment of a patient who has just transferred to the post-anesthesia care unit (PACU) after repair of an abdominal aortic aneurysm, you obtain all of these data. Which has the most immediate implications for the patient's care?
Correct Answer: A
Rationale: Hypertension can increase the risk of bleeding or aneurysm re-rupture.